Associated Physicians & Practitioners LLC
Organization Active NPI Surgery Physician · Clovis, NM
NPI 1235385303 · NPPES record last updated Oct 17, 2024
Key facts
- NPI
- 1235385303
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Surgery Physician 208600000X
- License
- 82.61 (NM)
- Legal business name
- ASSOCIATED PHYSICIANS & PRACTITIONERS LLC
- Practice address
- 1833 W 21St St
Clovis, NM 88101-4023 - Phone
- (575) 763-5585
- Fax
- (575) 763-5160
- NPI assigned
- Aug 8, 2008
- Organization subpart
- No
Authorized official
- Name
- Dr. Stephen H Haynes, M.D.
- Title
- Member
- Phone
- (575) 763-9800
Practitioners 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NM
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20090423000039 | NM | Part B Supplier - Clinic/Group Practice | 5395893796 |
Receives reassigned benefits from 1 practitioner Practice locations: Clovis, NM |
National Provider Directory
Locations
1937 W 21st St
Clovis, NM 88101
Phone (505) 742-2500
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician |
208600000X | 82.61 | NM | Yes |
| General Practice Physician |
208D00000X | 82.61 | NM |
Addresses
Primary practice location
1833 W 21St St
Clovis, NM 88101-4023
Mailing address
1833 W 21St St
Clovis, NM 88101-4023
Phone (575) 763-5585
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 19018 | Medicaid | NM |
Other providers in Clovis, NM
- Lourdes Aragon
- Sabrina Aranda
- Nicole Renee Arguelles
- Michelle Arias
- Robin Arrington-Pickering
- Robin Atterton
- Sondra Aucutt
- Tiffany A Aughtman
- Craig Aulaumea
- Christa R Austin
All providers in Clovis, NM · Surgery Physician in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 17, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.